Sauna
Encyclopedia
A sauna is a small room or house designed as a place to experience dry or wet heat sessions, or an establishment with one or more of these and auxiliary facilities.

A sauna session can be a social affair in which the participants disrobe and sit or recline in temperature
Temperature
Temperature is a physical property of matter that quantitatively expresses the common notions of hot and cold. Objects of low temperature are cold, while various degrees of higher temperatures are referred to as warm or hot...

s typically between 70 °C (158 °F) and 100 °C (212 °F). This induces relaxation and promotes sweat
SWEAT
SWEAT is an OLN/TSN show hosted by Julie Zwillich that aired in 2003-2004.Each of the 13 half-hour episodes of SWEAT features a different outdoor sport: kayaking, mountain biking, ice hockey, beach volleyball, soccer, windsurfing, rowing, Ultimate, triathlon, wakeboarding, snowboarding, telemark...

ing.

Saunas can be divided into two basic styles: conventional saunas that warm the air or infrared sauna
Infrared sauna
An infrared sauna uses infrared heaters to emit infrared radiant heat which is absorbed directly into the human body, unlike traditional saunas which heat the body indirectly via air or steam.- Health benefit claims :...

s that warm objects. Infrared saunas may use various materials in their heating area such as charcoal, active carbon fibers, and other materials.

Etymology

The word sauna is an ancient Finnish
Finnish language
Finnish is the language spoken by the majority of the population in Finland Primarily for use by restaurant menus and by ethnic Finns outside Finland. It is one of the two official languages of Finland and an official minority language in Sweden. In Sweden, both standard Finnish and Meänkieli, a...

 word referring to the traditional Finnish bath as well as to the bathhouse itself. The proto-Finnic
Proto-language
A proto-language in the tree model of historical linguistics is the common ancestor of the languages that form a language family. Occasionally, the German term Ursprache is used instead.Often the proto-language is not known directly...

 reconstruction
Linguistic reconstruction
Linguistic reconstruction is the practice of establishing the features of the unattested ancestor of one or more given languages. There are two kinds of reconstruction. Internal reconstruction uses irregularities in a single language to make inferences about an earlier stage of that language...

 is *savńa. There are etymological equivalents in the Finnic languages
Finnic languages
The term Finnic languages often means the Baltic-Finnic languages, an undisputed branch of the Uralic languages. However, it is also commonly used to mean the Finno-Permic languages, a hypothetical intermediate branch that includes Baltic Finnic, or the more disputed Finno-Volgaic languages....

 such as the Ingrian
Ingrian language
The Ingrian language is a Finnic language spoken by the Izhorians of Ingria. It has approximately 500 speakers left, most of whom are aging...

 and Votic word sauna, Estonian
Estonian language
Estonian is the official language of Estonia, spoken by about 1.1 million people in Estonia and tens of thousands in various émigré communities...

 saun and Livonian
Livonian language
Livonian belongs to the Finnic branch of the Uralic languages. It is a nearly extinct language, with one of its last native speakers having died in February 2009. It is closely related to Estonian...

 sōna. The word suovdnji in Sámi
Sami languages
Sami or Saami is a general name for a group of Uralic languages spoken by the Sami people in parts of northern Finland, Norway, Sweden and extreme northwestern Russia, in Northern Europe. Sami is frequently and erroneously believed to be a single language. Several names are used for the Sami...

 means a pit dug out of the snow, such as a hole for a willow grouse
Willow Grouse
The Willow Ptarmigan , also known as the Willow Grouse, is a bird of the grouse subfamily. It is a sedentary species, breeding in birch and other forests and moorlands in the tundra of Scandinavia, Siberia, Alaska, northern Canada, in particular the province of Newfoundland and Labrador...

. In Baltic-Finnish, sauna does not necessarily mean a building or space built for bathing. It can also mean a small cabin or cottage, such as a cabin for a fisherman. In Russophone
Russophone
A Russophone is literally a speaker of the Russian language either natively or by preference. At the same time the term is used in a more specialized meaning to describe the category of people whose cultural background is associated with Russian language regardless of ethnic and territorial...

 nations the word "Banya" (Russian: Баня) is widely used also when referring to a public bath.

First saunas

The oldest known saunas were pits dug in a slope in the ground and primarily used as dwellings in winter. The sauna featured a fireplace where stones were heated to a high temperature. Water was thrown over the hot stones to produce steam and to give a sensation of increased heat. This would raise the apparent temperature so high that people could take off their clothes. The first Finnish saunas are what nowadays are called savusaunas, or smoke saunas. These differed from present-day saunas in that they were heated by heating a pile of rocks called kiuas by burning large amounts of wood about 6 to 8 hours, and then letting the smoke out before enjoying the löyly, or sauna heat. A properly heated "savusauna" gives heat up to 12 hours. These are still used in present-day Finland by some enthusiasts, but usually only on special occasions such as Christmas, New Year's, Easter, and juhannus (Midsummer
Midsummer
Midsummer may simply refer to the period of time centered upon the summer solstice, but more often refers to specific European celebrations that accompany the actual solstice, or that take place on a day between June 21 and June 24, and the preceding evening. The exact dates vary between different...

).

As a result of the industrial revolution, the sauna evolved to use a metal woodstove, or kiuas [ˈkiu.ɑs], with a chimney. Air temperatures averaged around 70–80 degrees Celsius (160–180 degrees Fahrenheit) but sometimes exceeded 90 °C (200 °F) in a traditional Finnish sauna
Finnish sauna
The Finnish sauna is a substantial part of Finnish culture. There are five million inhabitants and over two million saunas in Finland - an average of one per household. For Finnish people the sauna is a place to relax in with friends and family, and a place for physical and mental relaxation as...

. Steam vapor, also called löyly [ˈløyly], was created by splashing water on the heated rocks.

The steam and high heat caused bathers to perspire. The Finns also used a vihta [ˈvihtɑ] (Western dialect, or vasta [ˈvɑstɑ] in Eastern dialect), which is a bundle of birch twigs with fresh leaves, to gently slap the skin and create further stimulation of the pores and cells.

The Finns also used the sauna as a place to cleanse the mind, rejuvenate and refresh the spirit, and prepare the dead for burial. The sauna was (and still is) an important part of daily life, and families bathed together in the home sauna. Because the sauna was often the cleanest structure and had water
Water
Water is a chemical substance with the chemical formula H2O. A water molecule contains one oxygen and two hydrogen atoms connected by covalent bonds. Water is a liquid at ambient conditions, but it often co-exists on Earth with its solid state, ice, and gaseous state . Water also exists in a...

 readily available, Finnish women also gave birth in the sauna.

Although the culture of sauna nowadays is more or less related to Finnish culture, it is important to note that the evolution of sauna has happened around the same time both in Finland and the Baltic countries
Baltic states
The term Baltic states refers to the Baltic territories which gained independence from the Russian Empire in the wake of World War I: primarily the contiguous trio of Estonia, Latvia, Lithuania ; Finland also fell within the scope of the term after initially gaining independence in the 1920s.The...

 sharing the same meaning and importance of sauna in daily life. The same sauna culture is shared in both places still to this day.

When the Finns migrated to other areas of the globe they brought their sauna designs and traditions with them, introducing other cultures to the enjoyment and health benefits of sauna. This led to further evolution of the sauna, including the electric sauna stove, which was introduced on 11 May 1951 by Johannes Säubel in Helsinki and far infrared saunas, which have become popular in the last several decades.

Modern saunas

Under many circumstances, temperatures approaching and exceeding 100 °C (212 °F) would be completely intolerable. Saunas overcome this problem by controlling the humidity
Humidity
Humidity is a term for the amount of water vapor in the air, and can refer to any one of several measurements of humidity. Formally, humid air is not "moist air" but a mixture of water vapor and other constituents of air, and humidity is defined in terms of the water content of this mixture,...

. The hottest Finnish
Finland
Finland , officially the Republic of Finland, is a Nordic country situated in the Fennoscandian region of Northern Europe. It is bordered by Sweden in the west, Norway in the north and Russia in the east, while Estonia lies to its south across the Gulf of Finland.Around 5.4 million people reside...

 saunas have relatively low humidity levels in which steam is generated by pouring water on the hot stones. This allows air temperatures that could boil water to be tolerated and even enjoyed for longer periods of time. Steam baths, such as the hammam
Hammam
A Turkish bath is the Turkish variant of a steam bath, sauna or Russian Bath, distinguished by a focus on water, as distinct from ambient steam....

, where the humidity approaches 100%, will be set to a much lower temperature of around 40 °C (104 °F) to compensate. The "wet heat" would cause scald
Scald
A scald is a type of burn injury caused by hot liquids or gases. It can also refer to:*Scalding milk, heating milk to just below its boiling point*Scald , a Irish extreme metal band*Scald , an epic doom metal band from Russia...

ing if the temperature were set much higher.

In a typical Finnish sauna, the temperature of the air, the room and the benches is above the dew point
Dew point
The dew point is the temperature to which a given parcel of humid air must be cooled, at constant barometric pressure, for water vapor to condense into liquid water. The condensed water is called dew when it forms on a solid surface. The dew point is a saturation temperature.The dew point is...

 even when water is thrown on the hot stones and vaporized. Thus, they remain dry. In contrast, the sauna bathers are at about 38 C, which is below the dew point, so that water is condensed on the bathers' skin. This process releases heat and makes the steam feel hot.

Finer control over the temperature experienced can be achieved by choosing a higher level bench for those wishing a hotter experience or a lower level bench for a more moderate temperature. A good sauna has a relatively small temperature gradient between the various seating levels.

Good manners require that the door to a sauna not be kept open so long that it cools the sauna for those that are already in it. Leaving the door even slightly ajar or keeping it open for more than a few seconds will significantly cool down the relatively small amount of hot air inside the sauna.

Many North American and Western European as well as Russian and South African public sport
Sport
A Sport is all forms of physical activity which, through casual or organised participation, aim to use, maintain or improve physical fitness and provide entertainment to participants. Sport may be competitive, where a winner or winners can be identified by objective means, and may require a degree...

 centres and gyms include sauna facilities. They may also be present at public and private swimming pool
Swimming pool
A swimming pool, swimming bath, wading pool, or simply a pool, is a container filled with water intended for swimming or water-based recreation. There are many standard sizes; the largest is the Olympic-size swimming pool...

s. This may be a separate area where swim wear may be taken off or a smaller facility in the swimming pool area where one should keep the swim wear on.

In Finland
Finland
Finland , officially the Republic of Finland, is a Nordic country situated in the Fennoscandian region of Northern Europe. It is bordered by Sweden in the west, Norway in the north and Russia in the east, while Estonia lies to its south across the Gulf of Finland.Around 5.4 million people reside...

, the sauna was thought of as a healing refreshment. The old saying goes: "Jos ei viina, terva tai sauna auta, tauti on kuolemaksi." ("If booze, tar, or the sauna won't help, the illness is fatal.") The Finnish sauna is not thought of as an easy way to get physical exercise
Physical exercise
Physical exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons including strengthening muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, as well as for the purpose of...

, and it is not intended for weight loss
Weight loss
Weight loss, in the context of medicine, health or physical fitness, is a reduction of the total body mass, due to a mean loss of fluid, body fat or adipose tissue and/or lean mass, namely bone mineral deposits, muscle, tendon and other connective tissue...

; in fact, it predates these modern ideas.

In Finnish
Finland
Finland , officially the Republic of Finland, is a Nordic country situated in the Fennoscandian region of Northern Europe. It is bordered by Sweden in the west, Norway in the north and Russia in the east, while Estonia lies to its south across the Gulf of Finland.Around 5.4 million people reside...

 and Latvia
Latvia
Latvia , officially the Republic of Latvia , is a country in the Baltic region of Northern Europe. It is bordered to the north by Estonia , to the south by Lithuania , to the east by the Russian Federation , to the southeast by Belarus and shares maritime borders to the west with Sweden...

n sauna culture, a beer
Beer
Beer is the world's most widely consumed andprobably oldest alcoholic beverage; it is the third most popular drink overall, after water and tea. It is produced by the brewing and fermentation of sugars, mainly derived from malted cereal grains, most commonly malted barley and malted wheat...

 afterwards is thought to be refreshing and relaxing. Pouring a few centiliters of beer into the water that is poured on the hot stones releases the odor of the grain used to brew the beer. This distinctive smell, however, sharply divides Finnish people. Also other scents can be used (for example pine tar
Pine tar
Pine tar is a sticky material produced by the high temperature carbonization of pine wood in anoxic conditions . The wood is rapidly decomposed by applying heat and pressure in a closed container; the primary resulting products are charcoal and pine tar.Pine tar consists primarily of aromatic...

 or eucalyptus
Eucalyptus
Eucalyptus is a diverse genus of flowering trees in the myrtle family, Myrtaceae. Members of the genus dominate the tree flora of Australia...

), but using any scents other than birch leaves is frowned upon by the traditionalists. A common method for adding birch leaf scent is to wet the leaves of a vihta in water, and then place the vihta on the hot stones for a second or two. This also conveniently heats the vihta for use to whip the users skin to increase blood circulation. According to Finnish lore, the human body is most beautiful thirty minutes after a sauna.

Social and mixed gender nudity
Nudity
Nudity is the state of wearing no clothing. The wearing of clothing is exclusively a human characteristic. The amount of clothing worn depends on functional considerations and social considerations...

 with adults and children of the same family is common in the conventional sauna. Sometimes the sauna is considered not only a sex-free, but also almost a gender-free zone. In the dry sauna and on chairs one sometimes sits on a towel
Towel
A towel is a piece of absorbent fabric or paper used for drying or wiping. It draws moisture through direct contact, often using a blotting or a rubbing motion. Common household textile towels are made from cotton, rayon, bamboo, nonwoven fibers or a few other materials.-Types of towels:* A bath...

 for perceived hygiene
Hygiene
Hygiene refers to the set of practices perceived by a community to be associated with the preservation of health and healthy living. While in modern medical sciences there is a set of standards of hygiene recommended for different situations, what is considered hygienic or not can vary between...

 and comfort, even though wood that hot is naturally hygienic; in the steam bath the towel is left outside. Some hotel sauna facilities and especially cruise ships and/or ferries have an area where refreshments (often alcoholic) are served in conjunction with the sauna/pool area; draping a towel around the waist is generally required in that part of such facilities. In case of temperatures of 90 °C or higher, towels or special wooden or plywood seats are used to sit on, as wooden bench feels too hot to sit comfortably directly on it.

As an additional facility a sauna may have one or more jacuzzi
Jacuzzi
Jacuzzi is a company that produces whirlpool bathtubs and spas. Its first product was a bath with massaging jets. The term "jacuzzi" is now often used generically to refer to any bathtub with massaging jets.-History:...

s. In some spa centers there are the so called special "snow rooms".

Finnish sauna

Finnish sauna is traditionally the same as Russian banya
Banya (sauna)
Banya in Russian can refer to any kind of steam bath, but usually to the Russian type of sauna. In Bulgarian, banya usually refers to a bath and bathing...

 despite the popular misconception that Finnish sauna is very dry. Records and other historical evidence indicate that the Finns built the first wooden saunas in the 5th or 8th century. Early saunas were dug into a hill or embankment. As tools and techniques advanced, they were later built above ground using wooden logs. Rocks were heated in a stone fireplace with a wood fire. The smoke from the fire filled the room as the air warmed.

Once the temperature reached desired levels, the smoke was allowed to clear and the bathers entered. The wood smoke aroma still lingered and was part of the cleansing ritual. This type of traditional smoke sauna was called a savusauna (black banya), which simply means "smoke sauna" in Finnish. Many people find the smell of smoke and wood relaxing.

In Finland swimsuits, towels, or any other garments are rarely worn in the sauna. Families often go to the sauna together, which is not considered eccentric since family saunas are an old tradition. In these private saunas swimsuits or towels are never worn. In public saunas it is more common that men and women go to the sauna separately, although people of both sexes may sometimes bathe together, for example in student clubs. Still, saunas are not associated with sex and sexuality. Quite the contrary, historically saunas have been the most sacred places after the church, and most houses which could afford to build a sauna had one. In older times women also used to give birth in the sauna because it was a warm and sterile environment. Children were occasionally born in saunas still in the beginning of the 20th century. Ancient Finns even believed saunas were inhabited by spirits.

The lighting in a sauna is dim, and some Finns prefer to sit in the sauna in silence, relaxing. The temperature is usually between 80 °C (176 °F) and 110 °C (230 °F). Sometimes people make a vasta (or vihta); they tie together small fresh birch branches (with leaves on) and swat themselves and their fellow sauna bathers with it. One can even buy vihtas from a shop and store them into the freezer for later (winter) use. Using a vasta improves blood circulation, and its birch odour is considered pleasing.

Estonian sauna

Saunas in Estonia have traditionally held a central role in the life of an individual. Ancient Estonia
Ancient Estonia
Ancient Estonia refers to a period covering History of Estonia from the middle of the 8th millennium BC until the conquest and subjugation of the Estonian people in the first quarter of the 13th century during the Northern Crusades.-The Mesolithic Period:...

ns believed saunas were inhabited by spirits. In folk tradition sauna was not only the place where one washed, but also used as the place where brides were ceremoniously washed, where women gave birth and the place the dying made their final bed. The folk tradition related to the Estonian sauna is mostly identical to that surrounding the Finnish sauna. On New Year's Eve a sauna would be held before midnight to cleanse the body and spirit for the upcoming year.

Technologies

Today there are a wide variety of sauna options. Heat sources include wood, electricity, gas and other more unconventional methods such as solar power. There are wet saunas, dry saunas, smoke saunas, steam saunas, and those that work with infrared waves. There are two main types of stoves: continuous heating and heat storage-type. Continuously heating stoves have a small heat capacity and can be heated up on a fast on-demand basis, whereas a heat storage stove has a large heat (stone) capacity and can take much longer to heat.

Smoke sauna

Smoke sauna (Finnish savusauna) is one of the earliest forms of the sauna. It is simply a room containing a pile of rocks, but without a chimney. A fire is lit directly under the rocks and after a while the fire is extinguished. The heat retained in the rocks, and the earlier fire, becomes the main source for heating the sauna. Following this process, the ashes and embers are removed from the hearth, the benches and floor are cleaned, and the room is allowed to air out and freshen for a period of time. The temperature is low, about 60 °C, while the humidity is relatively high. The tradition almost died out, but was revived by enthusiasts in the 1980s.

Heat storage-sauna

The smoke-sauna stove is also used with a sealed stone compartment and chimney (a heat storage-stove) which eliminates the smoke odour and eye irritation of the smoke sauna. A heat storage stove does not give up much heat in the sauna before bathing since the stone compartment has an insulated lid. When the sauna bath is started and the löyly shutter opened a soft warmth flow into the otherwise relatively cold (60 °C) sauna. This heat is soft and clean because, thanks to combustion, the stove stones glow red, even white-hot, and are freed of dust at the same time. When bathing the heat-storage sauna will become as hot as a continuous fire type-sauna (80–110 °C) but more humid. The stones are usually durable heat proof and heat-retaining peridotite
Peridotite
A peridotite is a dense, coarse-grained igneous rock, consisting mostly of the minerals olivine and pyroxene. Peridotite is ultramafic, as the rock contains less than 45% silica. It is high in magnesium, reflecting the high proportions of magnesium-rich olivine, with appreciable iron...

. The upper part of the stove is often insulated with rock wool and firebricks. Heat-storing stoves are also found with electric heating, with similar service but no need to maintain a fire.

Continuous fire sauna

A continuous fire stove, instead of stored heat, is a relatively recent invention. There is a firebox and a smokestack, and stones are placed in a compartment directly above the firebox. It takes shorter time to heat than the heat storage-sauna, about one hour. A fire-heated sauna requires manual labor in the form of maintaining the fire during bathing; the fire can also be seen as a hazard.

Fire-heated saunas are common in cottages, where the extra work of maintaining the fire is not a problem.

Electric stove sauna

Nowadays the most common sauna type. The stones are heated up and kept on temperature using electric heating elements. There is thermostat and a timer (four hour maximum continuous heating time) on the stove. This type of heating is used in urban saunas.

Similar sweat bathing facilities

The Finnish-style sauna (generally 70–80 °C (158–176 °F)), but can vary from 60 to 120 °C (140–248 °F) and the wet steam bath are the most widely known forms of sweat bathing
Bathing
Bathing is the washing or cleansing of the body in a fluid, usually water or an aqueous solution. It may be practised for personal hygiene, religious ritual or therapeutic purposes or as a recreational activity....

.

Many cultures have close equivalents, such as the North American First Nations
First Nations
First Nations is a term that collectively refers to various Aboriginal peoples in Canada who are neither Inuit nor Métis. There are currently over 630 recognised First Nations governments or bands spread across Canada, roughly half of which are in the provinces of Ontario and British Columbia. The...

 (in Canada) or Native American
Native Americans in the United States
Native Americans in the United States are the indigenous peoples in North America within the boundaries of the present-day continental United States, parts of Alaska, and the island state of Hawaii. They are composed of numerous, distinct tribes, states, and ethnic groups, many of which survive as...

 (in the United States) sweat lodge
Sweat lodge
The sweat lodge is a ceremonial sauna and is an important event in some North American First Nations or Native American cultures...

(Navajo: Inipi, Anishanabe: madoodiswan), the Karo
KARO
KARO is a radio station licensed to serve Nyssa, Oregon, USA. The station is owned by the Educational Media Foundation.It broadcasts a Contemporary Christian music format as part of the Air 1 network.-History:...

 oukup
Oukup
Among the Karo people of North Sumatra, Indonesia, the oukup is a traditional form of sauna in which the bather is wrapped in blankets with spice-scented steam coming from a boiling cauldron. The modern oukup is now done using steam piped into a small room. A similar bath, known as mar-tup was...

, the Turkish
Turkey
Turkey , known officially as the Republic of Turkey , is a Eurasian country located in Western Asia and in East Thrace in Southeastern Europe...

 or Arab
Arab
Arab people, also known as Arabs , are a panethnicity primarily living in the Arab world, which is located in Western Asia and North Africa. They are identified as such on one or more of genealogical, linguistic, or cultural grounds, with tribal affiliations, and intra-tribal relationships playing...

 hammam
Hammam
A Turkish bath is the Turkish variant of a steam bath, sauna or Russian Bath, distinguished by a focus on water, as distinct from ambient steam....

, Roman
Ancient Rome
Ancient Rome was a thriving civilization that grew on the Italian Peninsula as early as the 8th century BC. Located along the Mediterranean Sea and centered on the city of Rome, it expanded to one of the largest empires in the ancient world....

 thermae
Thermae
In ancient Rome, thermae and balnea were facilities for bathing...

, Nahuatl
Nahuatl
Nahuatl is thought to mean "a good, clear sound" This language name has several spellings, among them náhuatl , Naoatl, Nauatl, Nahuatl, Nawatl. In a back formation from the name of the language, the ethnic group of Nahuatl speakers are called Nahua...

 (Aztec) temescalli, Maya
Maya civilization
The Maya is a Mesoamerican civilization, noted for the only known fully developed written language of the pre-Columbian Americas, as well as for its art, architecture, and mathematical and astronomical systems. Initially established during the Pre-Classic period The Maya is a Mesoamerican...

 temazcal
Temazcal
A temazcal is a type of sweat lodge which originated with pre-Hispanic Indigenous peoples in Mesoamerica. The word temazcal comes from the Nahuatl word temazcalli , or possibly from the Aztec teme and calli . Temazcal in English is also written as temezcal, temascal, or temescal...

, Russia
Russia
Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

n banya
Banya (sauna)
Banya in Russian can refer to any kind of steam bath, but usually to the Russian type of sauna. In Bulgarian, banya usually refers to a bath and bathing...

, Estonia
Estonia
Estonia , officially the Republic of Estonia , is a state in the Baltic region of Northern Europe. It is bordered to the north by the Gulf of Finland, to the west by the Baltic Sea, to the south by Latvia , and to the east by Lake Peipsi and the Russian Federation . Across the Baltic Sea lies...

n saun, the Jewish Shvitz, African Sifutu, Swedish
Sweden
Sweden , officially the Kingdom of Sweden , is a Nordic country on the Scandinavian Peninsula in Northern Europe. Sweden borders with Norway and Finland and is connected to Denmark by a bridge-tunnel across the Öresund....

 bastu, Japan
Japan
Japan is an island nation in East Asia. Located in the Pacific Ocean, it lies to the east of the Sea of Japan, China, North Korea, South Korea and Russia, stretching from the Sea of Okhotsk in the north to the East China Sea and Taiwan in the south...

ese Mushi-Buro
Sento
is a type of Japanese communal bath house where customers pay for entrance. Traditionally these bath houses have been quite utilitarian, with one large room separating the sexes by a tall barrier, and on both sides, usually a minimum of lined up faucets and a single large bath for the already...

, and the Korean jjimjilbang
Jjimjilbang
A Jjimjilbang is a large, gender-segregated public bathhouse in Korea, furnished with hot tubs, showers, Finnish-style saunas, and massage tables, similar to a Korean sauna or mogyoktang. Jjimjil is derived from the words meaning heated bath...

. Public bathhouses that often contained a steam room were common in the 18th, 19th and early 20th centuries and were inexpensive places to go to wash when private facilities were not generally available.

Africa

In Africa
Africa
Africa is the world's second largest and second most populous continent, after Asia. At about 30.2 million km² including adjacent islands, it covers 6% of the Earth's total surface area and 20.4% of the total land area...

, on the whole, saunas are kept at a much lower temperature than in Europe.

Asia

In Iran
Iran
Iran , officially the Islamic Republic of Iran , is a country in Southern and Western Asia. The name "Iran" has been in use natively since the Sassanian era and came into use internationally in 1935, before which the country was known to the Western world as Persia...

, most gyms, hotels and almost all public swimming pools have indoor saunas. It is very common for swimming pools to have two saunas which are known in Persian
Persian language
Persian is an Iranian language within the Indo-Iranian branch of the Indo-European languages. It is primarily spoken in Iran, Afghanistan, Tajikistan and countries which historically came under Persian influence...

 as "سونای خشک" dry sauna & "سونای بخار" steam sauna, with the dry type customarily boasting a higher temperature. A cold water pool (and/or more recently a cold jacuzzi) is almost always accompanied and towels are usually provided. Adding therapeutic or relaxing essential oils to the rocks is far from uncommon. In Iran, unlike Finland, sitting in sauna is mostly seen as part of the spa/club culture, rather than a bathing ritual. It is most usually perceived as a means for relaxation or detoxification (through perspiration). Having a sauna room on a private property is considered a luxury rather than a necessity. Public saunas are segregated and nudity is prohibited.

In Japan
Japan
Japan is an island nation in East Asia. Located in the Pacific Ocean, it lies to the east of the Sea of Japan, China, North Korea, South Korea and Russia, stretching from the Sea of Okhotsk in the north to the East China Sea and Taiwan in the south...

, many saunas exist at sports centers and public bathhouse
Public bathing
Public baths originated from a communal need for cleanliness. The term public may confuse some people, as some types of public baths are restricted depending on membership, gender, religious affiliation, or other reasons. As societies have changed, public baths have been replaced as private bathing...

s (sentō
Sento
is a type of Japanese communal bath house where customers pay for entrance. Traditionally these bath houses have been quite utilitarian, with one large room separating the sexes by a tall barrier, and on both sides, usually a minimum of lined up faucets and a single large bath for the already...

). The saunas are almost always gender separated, often required by law, and nudity is a required part of proper sauna etiquette. While right after World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

, public bathhouses were commonplace in Japan, the number of customers have dwindled as more people were able to afford houses and apartments equipped with their own private baths as the nation became wealthier. As a result many sentōs have added more features such as saunas in order to survive.

In Korea
Korea
Korea ) is an East Asian geographic region that is currently divided into two separate sovereign states — North Korea and South Korea. Located on the Korean Peninsula, Korea is bordered by the People's Republic of China to the northwest, Russia to the northeast, and is separated from Japan to the...

, saunas are essentially public bathhouses. Various names are used to describe them, such as the smaller mogyoktang
Mogyoktang
Mogyoktangs are Korean public bathhouses with lockers, showers, jacuzzis, steam rooms, massage and barber shop. Unlike the more elaborate jjimjilbangs which include sleeping areas, snack bars, PC bangs, etc. mogyoktangs are usually only bathhouses and not open 24 hours. Also they are divided into...

, outdoor oncheon
Onsen
An is a term for hot springs in the Japanese language, though the term is often used to describe the bathing facilities and inns around the hot springs. As a volcanically active country, Japan has thousands of onsen scattered along its length and breadth...

, and the elaborate jjimjilbang
Jjimjilbang
A Jjimjilbang is a large, gender-segregated public bathhouse in Korea, furnished with hot tubs, showers, Finnish-style saunas, and massage tables, similar to a Korean sauna or mogyoktang. Jjimjil is derived from the words meaning heated bath...

. The word 'sauna' is used a lot for its 'English appeal', however it does not strictly refer to the original Scandinavian steam rooms that have become popular throughout the world. The konglish word sauna (사우나) usually refers to bathhouses with Jacuzzis, hot tubs, showers, steam rooms, and related facilities.

Australia and Canada

In Australia
Australia
Australia , officially the Commonwealth of Australia, is a country in the Southern Hemisphere comprising the mainland of the Australian continent, the island of Tasmania, and numerous smaller islands in the Indian and Pacific Oceans. It is the world's sixth-largest country by total area...

 and Canada
Canada
Canada is a North American country consisting of ten provinces and three territories. Located in the northern part of the continent, it extends from the Atlantic Ocean in the east to the Pacific Ocean in the west, and northward into the Arctic Ocean...

, saunas are found mainly in hotels, swimming pools, and health clubs and if used by both men and women, nudity is forbidden. In gyms or health clubs with separate male and female change rooms, nudity is permitted, however members are usually asked to shower before using the sauna and to sit on a towel.

The Benelux and French-Speaking Europe

The Benelux
Benelux
The Benelux is an economic union in Western Europe comprising three neighbouring countries, Belgium, the Netherlands, and Luxembourg. These countries are located in northwestern Europe between France and Germany...

 has a similar attitude to saunas as Germany, as almost all public saunas offer only mixed-gender nudity-compulsory facilities. A lot of these saunas do offer occasional women-only or bathing suit days or mornings for people who are less comfortable with mixed-gender nudity. Using a towel to completely cover the bench you're lying on is also compulsory, as is showering between a sauna and entering any of the pools (cold water pool, swimming pool or whirlpool) for hygienic purposes. Saunas are typically found on (day) resorts, featuring a dozen or more different types of saunas, steam pools, hot tubs, swimming pools and restaurants. Beauty treatments and different types massages can usually be booked as well.

In French-speaking Switzerland, customs are less rigid. Often, patrons have their choice of bathing nude or clothed. Other facilities offer nude single-sex saunas, nude mixed-gender saunas, and clothed mixed-gender saunas on the same premises.

France, the United Kingdom, and Mediterranean Europe

In France
France
The French Republic , The French Republic , The French Republic , (commonly known as France , is a unitary semi-presidential republic in Western Europe with several overseas territories and islands located on other continents and in the Indian, Pacific, and Atlantic oceans. Metropolitan France...

, the United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

, and much of southern Europe
Southern Europe
The term Southern Europe, at its most general definition, is used to mean "all countries in the south of Europe". However, the concept, at different times, has had different meanings, providing additional political, linguistic and cultural context to the definition in addition to the typical...

, single-gender saunas are the most common type. Nudity is expected in the segregated saunas but usually forbidden in the mixed saunas. This is a source of confusion when residents of these nations visit Germany and Austria or vice versa. Sauna sessions tend to be shorter and cold showers are shunned by most. In the United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

, where public saunas are becoming increasingly fashionable, the practice of alternating between the sauna and the jacuzzi
Jacuzzi
Jacuzzi is a company that produces whirlpool bathtubs and spas. Its first product was a bath with massaging jets. The term "jacuzzi" is now often used generically to refer to any bathtub with massaging jets.-History:...

 in short seatings (considered a faux pas
Faux pas
A faux pas is a violation of accepted social norms . Faux pas vary widely from culture to culture, and what is considered good manners in one culture can be considered a faux pas in another...

in Northern Europe) has emerged. Foreign visitors should also be aware that some small establishments advertised as 'saunas' are in fact brothels and it is rare to have a legitimate sauna with no other health spa or gym
Gym
The word γυμνάσιον was used in Ancient Greece, that mean a locality for both physical and intellectual education of young men...

 facilities in the UK.

Saunas in northeastern Italian
Italy
Italy , officially the Italian Republic languages]] under the European Charter for Regional or Minority Languages. In each of these, Italy's official name is as follows:;;;;;;;;), is a unitary parliamentary republic in South-Central Europe. To the north it borders France, Switzerland, Austria and...

 regions Friuli
Friuli
Friuli is an area of northeastern Italy with its own particular cultural and historical identity. It comprises the major part of the autonomous region Friuli-Venezia Giulia, i.e. the province of Udine, Pordenone, Gorizia, excluding Trieste...

 and Trentino-Alto Adige/Südtirol, as in Slovenia
Slovenia
Slovenia , officially the Republic of Slovenia , is a country in Central and Southeastern Europe touching the Alps and bordering the Mediterranean. Slovenia borders Italy to the west, Croatia to the south and east, Hungary to the northeast, and Austria to the north, and also has a small portion of...

 and Croatia
Croatia
Croatia , officially the Republic of Croatia , is a unitary democratic parliamentary republic in Europe at the crossroads of the Mitteleuropa, the Balkans, and the Mediterranean. Its capital and largest city is Zagreb. The country is divided into 20 counties and the city of Zagreb. Croatia covers ...

, have setups similar to those in Germany and Austria, and are perhaps a bit more relaxed about enforcing rules: mixed-gender saunas and patrons have their choice of bathing nude or clothed.

In Portugal
Portugal
Portugal , officially the Portuguese Republic is a country situated in southwestern Europe on the Iberian Peninsula. Portugal is the westernmost country of Europe, and is bordered by the Atlantic Ocean to the West and South and by Spain to the North and East. The Atlantic archipelagos of the...

, the steam baths were commonly used by the Castrejos people, prior to the arrival of the Romans in the western part of the Iberian peninsula. The historian Estrabão spoke of Lusitans traditions that consisted of having steam baths sessions followed by cold water baths. Pedra Formosa its the original name given to the central piece of the steam bath in pre-Roman times.

German-Speaking Countries

In Germany
Germany
Germany , officially the Federal Republic of Germany , is a federal parliamentary republic in Europe. The country consists of 16 states while the capital and largest city is Berlin. Germany covers an area of 357,021 km2 and has a largely temperate seasonal climate...

 and Austria
Austria
Austria , officially the Republic of Austria , is a landlocked country of roughly 8.4 million people in Central Europe. It is bordered by the Czech Republic and Germany to the north, Slovakia and Hungary to the east, Slovenia and Italy to the south, and Switzerland and Liechtenstein to the...

, where most public swimming pool complexes have sauna areas, nudity is strictly enforced in public saunas, as is the covering of benches with towels. Separate single-sex saunas for both genders are rare, most places offer women-only and mixed-gender saunas, or organise women-only days for the sauna once a week. Loud conversation is not usual as the sauna is seen as a place of healing rather than socialising. Contrary to Russia and Scandinavian countries, pouring water on hot stones to increase humidity (Aufguss, lit: "Onpouring") is not normally done by the sauna visitors themselves, but rather by a person in charge (the Saunameister), either an employee of the sauna complex or a volunteer. Aufguss sessions can take up to 10 minutes, and take place according to a schedule. During an Aufguss session the Saunameister uses a large towel to circulate the hot air through the sauna, intensifying sweating and the perception of heat. Once the Aufguss session has started it is not considered good manners to enter the sauna, as opening the door would cause loss of heat (Sauna guests are expected to enter the sauna just in time before the Aufguss. Leaving the session is allowed, but grudgingly tolerated). Aufguss sessions are usually announced by a schedule on the sauna door. An Aufguss session in progress might be indicated by a light or sign hung above the sauna entrance. Cold showers or baths shortly after a sauna, as well as exposure to fresh air in a special balcony, garden or open-air room (Frischluftraum) are considered a must.

In German-speaking Switzerland, customs are generally the same as in Germany and Austria, although you tend to see more families (parents with their children) and young people. Also in respect to socialising in the sauna the Swiss tend more to be like the Scadinavians or Russians. Also in German-speaking countries, there are many facilities for washing after using the sauna, with 'dunking pools' (pools of very cold water in which a person dips themselves after using the sauna), showers. In some saunas and steam rooms, scented salts are given out which can be rubbed into the skin for extra aroma and cleaning effects.

Hungary

Hungarians
Hungary
Hungary , officially the Republic of Hungary , is a landlocked country in Central Europe. It is situated in the Carpathian Basin and is bordered by Slovakia to the north, Ukraine and Romania to the east, Serbia and Croatia to the south, Slovenia to the southwest and Austria to the west. The...

 see the sauna a part of a wider spa culture. Here too, attitudes are liberal, mixed-gender people are together and they wear swimsuits. Single-sex saunas are rare, as well as those which tolerate nudity. Some Hungarian saunas have the so called "snow rooms" that look like a little cages with snow and icicles, where visitors can cool down for a couple of minutes after the each sauna session.

Scandinavia, the North Baltic States, Russia and Eastern Europe

As the home of the sauna, Finnish sauna culture is well established, there are built-in-saunas in almost every house in Finland. Although cultures in all corners of the world have imported and adapted the sauna, many of the traditional customs have not survived the journey. Today, public perception of saunas, sauna "etiquette" and sauna customs vary hugely from country to country. In many countries sauna going is a recent fashion and attitudes towards saunas are changing, while in others traditions have survived over generations.

In Finland
Finland
Finland , officially the Republic of Finland, is a Nordic country situated in the Fennoscandian region of Northern Europe. It is bordered by Sweden in the west, Norway in the north and Russia in the east, while Estonia lies to its south across the Gulf of Finland.Around 5.4 million people reside...

, Estonia
Estonia
Estonia , officially the Republic of Estonia , is a state in the Baltic region of Northern Europe. It is bordered to the north by the Gulf of Finland, to the west by the Baltic Sea, to the south by Latvia , and to the east by Lake Peipsi and the Russian Federation . Across the Baltic Sea lies...

, Latvia
Latvia
Latvia , officially the Republic of Latvia , is a country in the Baltic region of Northern Europe. It is bordered to the north by Estonia , to the south by Lithuania , to the east by the Russian Federation , to the southeast by Belarus and shares maritime borders to the west with Sweden...

, Lithuania
Lithuania
Lithuania , officially the Republic of Lithuania is a country in Northern Europe, the biggest of the three Baltic states. It is situated along the southeastern shore of the Baltic Sea, whereby to the west lie Sweden and Denmark...

 and Russia
Russia
Russia or , officially known as both Russia and the Russian Federation , is a country in northern Eurasia. It is a federal semi-presidential republic, comprising 83 federal subjects...

 sauna-going plays a central social role. These countries boast the hottest saunas and the tradition of beating fellow sauna-goers with leafy, wet birch
Birch
Birch is a tree or shrub of the genus Betula , in the family Betulaceae, closely related to the beech/oak family, Fagaceae. The Betula genus contains 30–60 known taxa...

 bunches ('vasta' or 'vihta' in Finnish, 'viht' in Estonian, 'slota' in Latvian, 'vanta' in Lithuanian, 'venik' in Russian).

In Sweden
Sweden
Sweden , officially the Kingdom of Sweden , is a Nordic country on the Scandinavian Peninsula in Northern Europe. Sweden borders with Norway and Finland and is connected to Denmark by a bridge-tunnel across the Öresund....

 saunas are found in many places, and are known as 'bastu' (from 'badstuga' = bath house). Public saunas are generally single-sex and it's often optional to use swimwear or not. When men and women use the sauna together swimwear is generally used.

In Russia, public saunas are strictly single-sex, while in Finland, Estonia, Lithuania and Latvia, both types occur. During wintertime, Finns often run outdoors for either ice swimming or, in the absence of lake, just to roll around in the snow naked and then go back inside. This is popular in Estonia, Latvia, Lithuania and Russia as well.

In ex-USSR there are three different types of saunas. The first one, previously very popular especially during the Soviet Era, is the public sauna or the banya, (also known as the Russian banya), as it is referred to among the locals is similar in context to public bath houses in Russia and in all ex-Soviet nations. The banya is a large setting with many different rooms. There is at least one dry sauna (Finnish style), one cold pool of water, a relaxion area, another sauna where fellow-sauna goers beat other fellow-sauna goers with the leafy birch, a shower area, a small cafeteria with a TV and drinks, and a large common area that leads to the other areas. In this large area, there are marble bed-like structures where people lie down and receive a massage either by another sauna-member or by a designated masseur. In the resting area, there are also other bed-like structures made of marbe or stone attached to the ground where people lie down to rest between different rounds of sauna or at the very end of their banya session. There is also a large public locker area where one keeps one's clothes as well as two other more private locker areas with individual doors that can lock these two separate locker rooms.

The second type of sauna is the normal Finnish dry sauna one can find in any gym throughout the world or a hotel. It could be in the locker room or mixed (i.e. male and female together). Attitudes towards nudity are very liberal and people are less self-conscious about their nude bodies.

The third type of sauna is one that is rented by a group of friends. It is similar to the public banya bath house type, except that it is usually more modern and luxurious, and is often rented by groups of friends by the hour for the use of partying and socializing. Here it can be single-sex or mixed-sex.

North America and Central America

In Central America
Central America
Central America is the central geographic region of the Americas. It is the southernmost, isthmian portion of the North American continent, which connects with South America on the southeast. When considered part of the unified continental model, it is considered a subcontinent...

, particularly in the highlands of southern Mexico
Mexico
The United Mexican States , commonly known as Mexico , is a federal constitutional republic in North America. It is bordered on the north by the United States; on the south and west by the Pacific Ocean; on the southeast by Guatemala, Belize, and the Caribbean Sea; and on the east by the Gulf of...

 and Guatemala
Guatemala
Guatemala is a country in Central America bordered by Mexico to the north and west, the Pacific Ocean to the southwest, Belize to the northeast, the Caribbean to the east, and Honduras and El Salvador to the southeast...

, a version of the sauna indigenous to the Americas, called temazcal
Temazcal
A temazcal is a type of sweat lodge which originated with pre-Hispanic Indigenous peoples in Mesoamerica. The word temazcal comes from the Nahuatl word temazcalli , or possibly from the Aztec teme and calli . Temazcal in English is also written as temezcal, temascal, or temescal...

, is quite popular. It is the central American version of the sweatlodge used by indigenous people in the US and Canada, though the temazcal is usually made of clay or stone rather than wood. A characteristic of the temascal is that it can have religious connotations, as in the North American sweatlodge and represents the womb, the elements, and a microcosm of the earth, although in less traditional communities its main purpose is simply for washing oneself. Some unique characteristics of the temazcal is that it is often used by traditional midwives for helping childbirth, and traditional healers often treat their patients in the temazcal (mainly through herbalism, by putting various types of medicinal plants on the heat source for treating specific ailments).

Archeological sites in Greenland and Newfoundland have uncovered structures very similar to traditional Scandinavian farm saunas. Some with bathing platforms and "enormous quantities of badly scorched stones".
In the United States
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

, the earliest saunas were Swedish bastus in the colony New Sweden around the Delaware River. The Swedish Governor at the time had a bathhouse on Tinicum Island. Today sauna culture enjoys its greatest popularity in the Lake Superior Region, specifically the Upper Peninsula
Upper Peninsula of Michigan
The Upper Peninsula of Michigan is the northern of the two major land masses that make up the U.S. state of Michigan. It is commonly referred to as the Upper Peninsula, the U.P., or Upper Michigan. It is also known as the land "above the Bridge" linking the two peninsulas. The peninsula is bounded...

 of Michigan
Michigan
Michigan is a U.S. state located in the Great Lakes Region of the United States of America. The name Michigan is the French form of the Ojibwa word mishigamaa, meaning "large water" or "large lake"....

, especially the Keweenaw Peninsula, and parts of Minnesota
Minnesota
Minnesota is a U.S. state located in the Midwestern United States. The twelfth largest state of the U.S., it is the twenty-first most populous, with 5.3 million residents. Minnesota was carved out of the eastern half of the Minnesota Territory and admitted to the Union as the thirty-second state...

, Wisconsin
Wisconsin
Wisconsin is a U.S. state located in the north-central United States and is part of the Midwest. It is bordered by Minnesota to the west, Iowa to the southwest, Illinois to the south, Lake Michigan to the east, Michigan to the northeast, and Lake Superior to the north. Wisconsin's capital is...

, and Iowa
Iowa
Iowa is a state located in the Midwestern United States, an area often referred to as the "American Heartland". It derives its name from the Ioway people, one of the many American Indian tribes that occupied the state at the time of European exploration. Iowa was a part of the French colony of New...

, which are home to large populations of Swedish and particularly Finnish American
Finnish American
Finnish Americans are Americans of Finnish descent, who currently number about 700,000.-History:Some Finns, like the ancestors of John Morton, came to the Swedish colony of New Sweden, that existed in mid-17th century....

s. Duluth, Minnesota, at its peak, had as many as 14 public saunas. Indeed, among Finnish farms in Great Lakes "sauna country", the cultural geographer Matti Kaups, found that 90% had sauna structures-more even than the farms in Finland. Elsewhere, sauna facilities are normally provided at health clubs and at hotels, but there is no tradition or ritual to their use, and many people fail to appreciate their benefits. To avoid liability, many saunas operate at only moderate temperatures and do not allow pouring water on the rocks. A wider range of sauna etiquette is usually acceptable in the United States compared to other countries, with the exception that most mixed-sex saunas usually require some clothing such as a bathing suit to be worn. These are uncommon, however, as most saunas are either small private rooms or in the changing rooms of health clubs or gyms. There are few restrictions and their use is casual; bathers may enter and exit the sauna as they please, be it nude, with a towel, dripping wet in swimsuits or even in workout clothes (the latter being very unusual). Like many aspects of US culture, there are few prescribed conventions and the bather should remain astute to "read" the specific family or community's expectations. Besides the Finnish Americans, the older generation of Korean-Americans still uses the saunas as it is available to them. Sauna societies are beginning to emerge in colleges across America, with the first one being formed at Gustavus Adolphus College
Gustavus Adolphus College
Gustavus Adolphus College is a private liberal arts college affiliated with the Evangelical Lutheran Church in America located in St. Peter, Minnesota, United States. A coeducational, four-year, residential institution, it was founded in 1862 by Swedish Americans. To this day the school is firmly...

.

The Sweat lodge
Sweat lodge
The sweat lodge is a ceremonial sauna and is an important event in some North American First Nations or Native American cultures...

, used by many native North Americans as a form of ritual cleansing, is a notable example of an indigenous tradition with many similarities to the Finnish Sauna, Russian Banya
Banya (sauna)
Banya in Russian can refer to any kind of steam bath, but usually to the Russian type of sauna. In Bulgarian, banya usually refers to a bath and bathing...

 or Swedish Bastu. Often sage is used as a ritual aromatic in the ceremonies. Unlike many other sauna traditions, and most forcefully in the case of the Inipi
Inipi
The I-ni-pi ceremony, a type of sweat lodge, is a Lakota purification ceremony, and one of the Seven Sacred Rites of the Lakota people. It is an ancient and sacred ceremony of the Lakota people and has been passed down through the generations of Lakota....

, the sweat lodge
Sweat lodge
The sweat lodge is a ceremonial sauna and is an important event in some North American First Nations or Native American cultures...

 ceremony has been robustly defended as an exclusively native expression of spirituality rather than a recreational activity.

In California
California
California is a state located on the West Coast of the United States. It is by far the most populous U.S. state, and the third-largest by land area...

, a variety of saunas can be found in urban centers, usually at spa
Spa
The term spa is associated with water treatment which is also known as balneotherapy. Spa towns or spa resorts typically offer various health treatments. The belief in the curative powers of mineral waters goes back to prehistoric times. Such practices have been popular worldwide, but are...

s or hot tub
Hot tub
A hot tub is a large tub or small pool full of heated water and used for soaking, relaxation, massage, or hydrotherapy. In most cases, they have jets for massage purposes. Hot tubs are usually located outdoors, and are often sheltered for protection from the elements, as well as for privacy....

 facilities. Usually these businesses rent medium or large sized rooms by the hour which contain a hot tub, an unenclosed shower, and/or a wet or dry sauna. Very often massage
Massage
Massage is the manipulation of superficial and deeper layers of muscle and connective tissue to enhance function, aid in the healing process, and promote relaxation and well-being. The word comes from the French massage "friction of kneading", or from Arabic massa meaning "to touch, feel or handle"...

 and other body and skin treatments are available at the same facilities, either by themselves or in the customer's private room. Businesses located in red-light district
Red-light district
A red-light district is a part of an urban area where there is a concentration of prostitution and sex-oriented businesses, such as sex shops, strip clubs, adult theaters, etc...

s often have prostitutes soliciting customers nearby.

The Korean-American communities in United States that have settled in urban cities such as Los Angeles county still use the sauna on a weekly basis. These businesses are common in the Koreatown district of Los Angeles. Saunas in Koreatown are built much like their predecessors in Korea, although on a smaller scale. Some saunas offer rooms that have special facilities, i.e. salt rooms, jade rooms, clay fomentation room, charcoal rooms, and various steam rooms.

Traditions and old beliefs

In Finland, Estonia and Latvia
Latvia
Latvia , officially the Republic of Latvia , is a country in the Baltic region of Northern Europe. It is bordered to the north by Estonia , to the south by Lithuania , to the east by the Russian Federation , to the southeast by Belarus and shares maritime borders to the west with Sweden...

 as well in Russia, the sauna is an ancient custom. It used to be a holy place, a place where women gave birth, and where the bodies of the dead were washed. There were also many beliefs and charms that were connected to sauna. It was, among other things, a place for worshipping the dead – it was thought of as such a wonderful place that even the dead would surely like to return to it. Curing diseases and casting love spells could also happen in the sauna. As in many other cultures, fire was seen as a gift from heaven in Finland, and the hearth and the sauna oven were its altars.

One word in Finnish, strictly connected to sauna, is löyly. It is difficult to translate precisely, but denotes the heat of the sauna room, especially the heat derived from throwing water on the hot stones of the sauna oven. (Löyly, pronounced [ˈløyly], can be understood as sauna steam). Originally this word meant spirit or life. In many languages which are related to Finnish, there is a word corresponding to löyly. The closest example appears in the Estonian language
Estonian language
Estonian is the official language of Estonia, spoken by about 1.1 million people in Estonia and tens of thousands in various émigré communities...

, leil. The same meaning of "spirit" is also used in Latvian
Latvian language
Latvian is the official state language of Latvia. It is also sometimes referred to as Lettish. There are about 1.4 million native Latvian speakers in Latvia and about 150,000 abroad. The Latvian language has a relatively large number of non-native speakers, atypical for a small language...

. Another example is lil in Ostyak
Ostyak
Ostyak on its own or in combination, can refer, especially in older literature, to several Siberian peoples and languages:* Ostyak:** Khanty people** Khanty language* Yenisei Ostyak:** Ket people** Ket language* Ostyak-Samoyed:...

, which means soul, pointing to the sauna's old, spiritual essence.

There still exists an old saying, "saunassa ollaan kuin kirkossa," – one should be(have) in the sauna as in church.

Saunatonttu, literally translated the sauna elf, is a little gnome
Gnome
A gnome is a diminutive spirit in Renaissance magic and alchemy, first introduced by Paracelsus and later adopted by more recent authors including those of modern fantasy literature...

 or tutelary spirit that was believed to live in the sauna. He was always treated with respect, otherwise he might cause much trouble for people. It was customary to warm up the sauna just for the tonttu every now and then, or to leave some food outside for him. It is said that he warned the people if a fire was threatening the sauna, or punished people who behaved improperly in it – for example slept, or played games, argued, were generally noisy or behaved otherwise "immorally" there.
Such creatures are believed to exist in different cultures. The Russian banya has an entirely identical character called a bannik.

In Thailand, women spend hours in a make-shift sauna tent during a month following child birth. The steam is typically infused with several herbs. It is believed that the sauna helps the new mother's body return to its normal condition faster.

Use

A steam sauna can take 30 minutes to heat up when first started. Some users prefer taking a warm shower beforehand to speed up perspiration in the sauna. When in the sauna users often sit on a towel for hygiene and put a towel over the head if the face feels too hot but the body feels comfortable. In Russia, a felt "banya hat" may be worn to shield the head from the heat; this allows the wearer to increase the heat on the rest of the body.

Most adjustment of temperature in a sauna comes from,
  • amount of water thrown on the heater, this increases humidity, so that sauna bathers perspire more copiously.
  • length of stay in the sauna
  • positioning when in the sauna


It is cooler on the lower benches, and away from the heater elements, as the heat rises it will be hotter higher up. Provided the sauna is not crowded, lying on a bench is considered preferable as it gives more even temperature over the body. Users increase duration and the heat gradually over time as they adapt to sauna.

When pouring water onto the heater, it will cool down the heater, but carry more heat into the air via advection, making the sauna warmer.

Perspiration is a sign of autonomic responses trying to cool the body. Users are advised to leave the sauna if the heat becomes unbearable, or if they feel faint or ill. Some saunas have a thermostat to adjust temperature, but management and other users expect to be consulted before changes are made. The sauna heater and rocks are very hot - one must stay well clear to avoid injury, particularly when water is poured on the sauna rocks, which creates an immediate blast of steam. Combustibles on or near the heater have been known to result in fire. Wet floors can be slippery. Contact lenses dry out in the heat. Jewellery or anything metallic, including glasses, will get hot in the sauna and can cause discomfort or burning.

Temperature on different parts of the body can be adjusted by shielding from the steam radiator with a towel. Shielding the face with a towel has been found to reduce the perception of heat. It is advised, especially for women to put an additional towel or special cap on hair to avoid their dryness.
Few people can sit directly in front of the heater without feeling too hot from radiant heat, but their overall body temperature may be insufficient. As the person’s body is often the coolest object in a sauna room, steam will condense into water on the skin; this can be confused with perspiration.

In an infrared dry sauna, the heaters produce infrared rays that penetrate the skin layers and heat more deeply, It is the user that heats up not so much the room, so it will be cooler. For safety reasons water is not placed on these types of heaters.

Cooling down is part of the sauna cycle and is as important as the heating. Among users it is considered good practice to take a few moments after exiting a sauna before entering a cold plunge, and to enter a plunge pool
Plunge pool
A plunge pool can be a natural hydrologic fluvial landform feature or a constructed recreational garden feature...

 by stepping into it gradually, rather than immediately immersing fully. Until used to having a full cold shower, warm ones are used gradually make it colder so that the shock is not so great. After a shower, feeling cold or shivering
Shivering
Shivering is a bodily function in response to early hypothermia in warm-blooded animals. When the core body temperature drops, the shivering reflex is triggered to maintain homeostasis. Muscle groups around the vital organs begin to shake in small movements in an attempt to create warmth by...

 indicates it is enough, the shiver is a sign of the autonomic responses, trying to warm the body. This is considered a signal for the sauna again. If however illness is felt later or during that day, a less hot sauna and warmer, longer cool down is tried then the next day. In summer, any after effects like headache
Headache
A headache or cephalalgia is pain anywhere in the region of the head or neck. It can be a symptom of a number of different conditions of the head and neck. The brain tissue itself is not sensitive to pain because it lacks pain receptors. Rather, the pain is caused by disturbance of the...

 or nausea
Nausea
Nausea , is a sensation of unease and discomfort in the upper stomach with an involuntary urge to vomit. It often, but not always, precedes vomiting...

 can come from insufficient cool down after the sauna, or from dehydration
Dehydration
In physiology and medicine, dehydration is defined as the excessive loss of body fluid. It is literally the removal of water from an object; however, in physiological terms, it entails a deficiency of fluid within an organism...

, failure to drink enough fluids. Sleep disturbances can also occur if not cooled down properly, even though not feeling hot, the heat in the core of the body may disrupt sleep as the body tries to cool at night. In summer, a session is often started with a cold shower.

Therapeutic sauna has been shown to aid adaptation, reduce stress hormones, lower blood pressure and improve cardiovascular conditions.

Health risks and benefits

Saunas can be dangerous due to the risk of heat prostration or the even more serious hyperthermia
Hyperthermia
Hyperthermia is an elevated body temperature due to failed thermoregulation. Hyperthermia occurs when the body produces or absorbs more heat than it can dissipate...

. Children and older persons who have heart disease or seizure disorders or those who use alcohol or cocaine are especially vulnerable.

Prolonged stay in a sauna may lead to the loss of electrolyte
Electrolyte
In chemistry, an electrolyte is any substance containing free ions that make the substance electrically conductive. The most typical electrolyte is an ionic solution, but molten electrolytes and solid electrolytes are also possible....

s from the body, the same as after rigorous exercise. Risks of dehydration
Dehydration
In physiology and medicine, dehydration is defined as the excessive loss of body fluid. It is literally the removal of water from an object; however, in physiological terms, it entails a deficiency of fluid within an organism...

 leading to heat stroke in more sensitive individuals can occur and may be reduced by regular sipping of water or isotonic drinks, but not alcohol, during the sauna. Sauna bathing and heavy drinking of alcoholic beverages, and also sauna bathing during alcohol withdrawal (hangover) phase can undoubtedly create real health risks.

Many of the sauna therapeutic trials used a regular schedule of at least 5 days a week and often daily for one to three months, then several times a week for extended periods.

In some countries the local gymnasium is usually the closest and most convenient and some pool, major sport, or even resort complexes also contain a sauna. Therapeutic Sauna is often carried out in conjunction with physiotherapy or hydrotherapy
Hydrotherapy
Hydrotherapy, formerly called hydropathy, involves the use of water for pain-relief and treating illness. The term hydrotherapy itself is synonymous with the term water cure as it was originally marketed by practitioners and promoters in the 19th century...

, gentle exercises within the capability of the person without exacerbating symptoms.

Benefits

The beneficial effects of therapeutic sauna are both temporary and long term.

Contraindications to sauna include unstable angina pectoris, recent myocardial infarction
Myocardial infarction
Myocardial infarction or acute myocardial infarction , commonly known as a heart attack, results from the interruption of blood supply to a part of the heart, causing heart cells to die...

, and severe aortic stenosis. Sauna is safe, however, for most people with stable coronary heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...

. It is not harmful to the aged when used in moderation, is safe even for young infants over 3 months if limited to short (< 3 minutes) sessions, and does not affect wound healing. Sauna use may reduce the incidence of the common cold, and temporarily relieve the symptoms. It increases performance in endurance sport, increases plasma volume and red cell volume in athletes, decreased systolic blood pressure, significantly improved exercise tolerance, increased peak respiratory oxygen uptake, and enhanced anaerobic threshold in chronic conditions.

Sauna plus multidisciplinary treatment may reduce chronic pain more effectively than multidisciplinary treatment alone. Sauna reduces chronic pain more effectively than cognitive behaviour therapy. It is indicated for rheumatic pain (with cold shower) but not for neuropathic pain. Is effective for appetite loss and mild depression. Indicated in reducing symptoms in Chronic Fatigue Syndrome
Chronic fatigue syndrome
Chronic fatigue syndrome is the most common name used to designate a significantly debilitating medical disorder or group of disorders generally defined by persistent fatigue accompanied by other specific symptoms for a minimum of six months, not due to ongoing exertion, not substantially...

, and rheumatoid arthritis
Rheumatoid arthritis
Rheumatoid arthritis is a chronic, systemic inflammatory disorder that may affect many tissues and organs, but principally attacks synovial joints. The process produces an inflammatory response of the synovium secondary to hyperplasia of synovial cells, excess synovial fluid, and the development...

, and indicated for anorexia nervosa
Anorexia nervosa
Anorexia nervosa is an eating disorder characterized by refusal to maintain a healthy body weight and an obsessive fear of gaining weight. Although commonly called "anorexia", that term on its own denotes any symptomatic loss of appetite and is not strictly accurate...

. Sauna improves function in conditions such as congestive heart failure, and high blood pressure, improves vasodilation, improves heart arrhythmia, and reduces heart rate on exercise. Sauna has been proposed for treatment of other conditions such as glaucoma
Glaucoma
Glaucoma is an eye disorder in which the optic nerve suffers damage, permanently damaging vision in the affected eye and progressing to complete blindness if untreated. It is often, but not always, associated with increased pressure of the fluid in the eye...

, Sjogren syndrome, chronic fatigue syndrome, fibromyalgia
Fibromyalgia
Fibromyalgia is a medical disorder characterized by chronic widespread pain and allodynia, a heightened and painful response to pressure. It is an example of a diagnosis of exclusion...

, anorexia nervosa, obstructive lung disease
Obstructive lung disease
Obstructive lung disease is a category of respiratory disease characterized by airway obstruction. It is generally characterized by inflamed and easily collapsible airways, obstruction to airflow, and frequent office visits and hospitalizations. Types of obstructive lung disease include; Asthma,...

, recuperation after childbirth, and also for lifestyle related diseases of, diabetes, arteriosclerosis
Arteriosclerosis
Arteriosclerosis refers to a stiffening of arteries.Arteriosclerosis is a general term describing any hardening of medium or large arteries It should not be confused with "arteriolosclerosis" or "atherosclerosis".Also known by the name "myoconditis" which is...

, obesity
Obesity
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems...

, hypertension
Hypertension
Hypertension or high blood pressure is a cardiac chronic medical condition in which the systemic arterial blood pressure is elevated. What that means is that the heart is having to work harder than it should to pump the blood around the body. Blood pressure involves two measurements, systolic and...

, hyperlipidemia
Hyperlipidemia
Hyperlipidemia, hyperlipoproteinemia, or hyperlipidaemia is the condition of abnormally elevated levels of any or all lipids and/or lipoproteins in the blood...

, atherosclerosis
Atherosclerosis
Atherosclerosis is a condition in which an artery wall thickens as a result of the accumulation of fatty materials such as cholesterol...

and smoking induced symptoms.

Sauna has also been found to reduce levels of stress hormones adrenalin and noradrenalin and to increase levels of beta endorphin. However it also causes a substantial rise in the stress hormones ACTH (adrenocorticotropic hormone), and cortisol due to hyperthermic stress on the body. Cortisol remains high even after 30 minutes of rest. Sauna also found to reduce prostaglandin F2alpha and protect against oxidative stress. It enhances activation of monocytes to bacteria and endotoxins.

With cold exposure

In addition a sauna followed by a cold shower has been shown to reduce pain in rheumatoid arthritis where pain is mediated by sensitised c-fibre sympathetics. Regular saunas have also been found to improve micro circulation reduce vasoconstriction and hypertension. Many symptoms of chronic illnesses may be due to vasoconstriction effects e.g. cold sensitivity, pain even mood states, and sauna improves microcirculation and blood supply to constricted areas.

Research has also shown that adaptation to cold through short term cold stimulus, as in cold swimming, immersion (or showers) has the added benefit of improving the body's anti oxidant capabilities, with increases in glutathione and reduction of uric acid, which may mean better handling of the stresses of illness. Those that are shown to involve reduced glutathione or increased glutathione use, include; cardiovascular conditions, pulmonary diseases, diabetes, inflammatory bowel diseases, cancer, osteoporosis, aging, and after pesticide exposure. Conditions involving oxidative stress include neuro degenerative diseases, CFS, bone fracture and others. Conditions in which increased uric acid may be a risk factor include, gout, metabolic disease and vascular diseases.

A reported study from the Thrombosis Institute in London into the effects of the cold bathing found that volunteers that followed a disciplined daily regime had increased immune white blood cells and the level of the bodies natural blood thinning enzymes substantially increased, improving micro circulation. It also stimulated the production of hormones such as testosterone in men, and boosted women's production of estrogen. Cold water immersion raises thresholds of pain tolerance, and aids adaptation to cold, reduces muscle spasm, can influence the frequency of respiratory infections and improve subjective well-being. It may cause an immunological modulation in terms of the Th1-type pattern, which is a proinflammatory cytokine profile. It is involved in diseases such as arthritis, diabetes, inflammatory myopathies, inflammatory bowel disease, psoriasis, CFS, fibromyalgia, chronic pain, fatigue conditions, auto-immune disease and other inflammatory conditions. Cold water adaptation reduced total cholesterol and LDL cholesterol, lowered plasma viscosity and blood pressure rate product. Cold water immersion reduces recovery time in athletes, enhances repeat performance and reduces exercise induced muscle damage.

Cold water exposure challenges both the neuro-endocrine and the immune systems, reduces stress hormones and attenuates their response. Increases ADH and cortisol and increases immunomodulatory cytokines. Cold water exposure and adaptation can modify the sensory functions of hypothalamic thermoregulatory centres to lower heat loss and produce less heat during cold exposure and have immunostimulating effects. The thermogenic action of adrenaline in cold exposure produces heat and may reduce this stress hormone. An important effect is the ability of sauna to use up excess sympathetic nerve tone in both the central and peripheral nervous systems and just as importantly use up excess levels of local tissue hormones involved in feedback loops to the hypothalamus, thus aiding recovery in chronic illness.

External links

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