In some older homes, there was a grey Mylar flexible duct. After years of use, it started to decompose. A duct cleaning company can come out and find why your air is so dirty and why your building doesn’t heat or cool like it used to. This is a savings on your part. You could also be sucking in Hot, dirty attic air. However, sometimes when a duct cleaning company comes out to clean it, the old duct can be destroyed and have to be replaced. Someone with little experience can replace this ductwork but if it isn’t done right it can ruin a lot of things and cost a lot in repairs.
I bought a Groupon and initially had to wait 5 weeks for them to make an appointment. I took the day off of work and they called 40 min prior to their scheduled time to let me know they had to reschedule as someone didn't show up for their shift that day. I then was scheduled 5 more weeks out and they called today to also reschedule that appointment, another 4 weeks out. I cannot speak of their work as their lack of professionalism has made me consult Groupon to get my money back however as I read the reviews this seems to be a theme with this company!
On the other hand, if family members are experiencing unusual or unexplained symptoms or illnesses that you think might be related to your home environment, you should discuss the situation with your doctor. EPA has published the following publications for guidance on identifying possible indoor air quality problems and ways to prevent or fix them.
You may consider having your air ducts cleaned simply because it seems logical that air ducts will get dirty over time and should be occasionally cleaned. Provided that the cleaning is done properly, no evidence suggests that such cleaning would be detrimental. EPA does not recommend that the air ducts be cleaned routinely, but only as needed. EPA does, however, recommend that if you have a fuel burning furnace, stove or fireplace, they be inspected for proper functioning and serviced before each heating season to protect against carbon monoxide poisoning.