THERAPIES & TRADITIONS · GUIDE
Saunas and Steam Rooms: Traditional, Infrared and Steam
An overview of traditional saunas, infrared saunas and steam rooms in a hydrotherapy setting: what they are, what reviews found, key cautions, and where detailed evidence lives.
Content last updated . This page has not been medically reviewed.
Back to HydrotherapyHeat Practices Beside Water Therapy
Saunas and steam rooms heat the air around you rather than immersing you in water, so they are related heat practices rather than hydrotherapy in the strict sense. They are covered here because spas and bathhouses offer them next to pools and tubs, and many of the same safety points apply, such as fainting and dehydration. This page is an overview. The Biohacking section owns the detailed evidence: Sauna: evidence summary, Infrared sauna: evidence summary and Sauna vs infrared sauna. The pointer page Where sauna and infrared sauna evidence is covered explains the split.Traditional Sauna
A traditional sauna is a heated room with very hot, dry air. Sauna bathing is a traditional Finnish activity used mainly for relaxation and pleasure. [1] Much of the long-term data comes from Finland, and a review of sauna research noted the studies were most often uncontrolled and used participants who had been bathing since childhood, so results may not carry over to everyone. [2]How strong is the evidence? In summary:
- Heart outcomes, observational. A large Finnish study of 2,315 middle-aged men found a lower hazard of sudden cardiac death with 4 to 7 sauna sessions per week (hazard ratio 0.37); its authors said further studies are needed to establish the mechanism. [3] This is an association, not proof of cause. A 2019 review described the evidence on sudden cardiac death as uncertain. [1] Label: promising but limited.
- Broader reviews. A systematic review of 40 clinical studies found that most reported beneficial effects, but only 13 were randomized trials and most were small. [4] Label: promising but limited.
- Blood pressure. A 2026 review found heat therapy consistently caused transient blood pressure reductions, while long-term benefit is unproven. [5] Label: insufficient evidence for lasting effects.
Infrared Sauna
Infrared saunas use heaters that warm the body more directly than the air. A meta-analysis of 7 studies found infrared sauna associated with short-term improvement in cardiac function in people with heart conditions, with evidence strength from moderate to insufficient. [6] For healthy people, claims that infrared saunas are superior to traditional saunas are marketing claims: the reviews read here did not compare them directly. Proper evidence not found in those reviews for a general-wellness advantage.Steam Rooms
A steam room is a very humid heated room. The humid-room tradition has many names and histories; see Hammam, Turkish baths and Roman baths. For specific health benefits of steam rooms as such, proper evidence not found: PubMed searches for steam room, steam bath and hammam returned a trial of a combined hammam and massage program (see the steam rooms and steam baths guide) but no trials of a steam room alone.Frequently asked questions
Is a sauna good for your heart?
Finnish observational studies link frequent sauna use with lower cardiovascular risk, but that is an association and not proof. [3][1]
Are infrared saunas better than regular saunas?
The reviews read here do not show that. Research on infrared saunas centers on people with heart conditions. [6]
Does a sauna detox your body?
A systematic review found toxic metals in sweat, but its authors said appropriately sized trials are needed to establish safe, effective therapeutic protocols. [10]
Is a steam room good for you?
Proper evidence not found for specific health benefits of a steam room on its own.
Can I drink alcohol in a sauna?
No. Alcohol raises the risk of low blood pressure, arrhythmia and sudden death in the sauna. [7]
More details: evidence, limits and cautions
The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.
Safety and Who Should Check First
- Heart conditions. A review lists unstable angina, recent heart attack and severe aortic stenosis as contraindications to sauna bathing. [7] Ask a clinician if you have heart disease, high or low blood pressure, or take blood pressure medicines. See heart attack, arrhythmia and sudden cardiac risks.
- Alcohol. Alcohol during sauna bathing raises the risk of low blood pressure, arrhythmia and sudden death and should be avoided. [7]
- Fainting. The NHS lists being too hot as a cause of fainting. [8] See fainting after hot water and heat illness.
- Pregnancy. Sources differ. A 2001 sauna review said sauna bathing is safe in uncomplicated pregnancies of healthy women. [7] A review of hot tub and spa use concluded that these can likely raise core maternal temperature to risky levels in early pregnancy, citing animal data on a rise of 2 degrees C over baseline. [9] Ask a prenatal clinician before using either.
- Men's fertility. One small study (n = 10) in the sauna review reported disrupted sperm production that reversed after stopping. [4]
This site gives no universal temperature or time. Limits depend on the person, medicines and the facility.
Qualifications and Regulation
References
- Progress in Cardiovascular Diseases (2019), sauna bathing and sudden cardiac death, review. PubMed record. Read 2026-10-22.
- Review of sauna bathing, chronic diseases, medication and special groups (2006). PubMed record. Read 2026-10-22.
- JAMA Internal Medicine (2015), sauna bathing and fatal cardiovascular events in middle-aged Finnish men. PubMed record. Read 2026-10-22.
- Evidence-Based Complementary and Alternative Medicine (2018), health effects of dry sauna bathing, systematic review. PubMed record. Read 2026-10-22.
- Complementary Therapies in Medicine (2026), blood pressure responses and safety of heat therapy, systematic review. PubMed record. Read 2026-10-22.
- Infrared sauna bathing and cardiac function, systematic review and meta-analysis (2018). PubMed record. Read 2026-10-22.
- American Journal of Medicine (2001), health effects and risks of sauna bathing, review. PubMed record. Read 2026-10-22.
- NHS. Fainting. Read 2026-10-22.
- Birth Defects Research Part A (2006), hot tub and spa use in pregnancy. PubMed record. Read 2026-10-22.
- Journal of Environmental and Public Health (2012), toxic elements in sweat, systematic review. PubMed record. Read 2026-10-22.