The fact is if they are dirty why not clean them. As for the Dr’s comment about if it is not disrupted it is fine. As a pet owner sometimes un disrupted pet hair will sit in the corner of a room or under a counter un disrupted but I still clean it when I notice it. Just because you cant see it doesn’t mean you should leave it there to collect more and more. The people that don’t want there air ducts clean either simply cant afford it but would like it done. OR! the crowd that are to cheap.. You should Clean all portions of your house.
fact is most homes have bad filter racks. when you insert the filter it doesn’t seal well to the sides so some of the air and dust bypass it and end up in the supply ductwork and into the house. Most of the dust in the supply ductwork settles down and doesn’t get blown in the house but some of it does when the blower starts up or when you put a new filter. If you have allergies or other health problems put in an electronic air cleaner, get your ducts cleaned and run the fan as much as you can afford. you can also get an ECM motor installed which is going to be worth it if you want to run the fan 24/7. If you have uninsulated metal ducts take down the ones you can and wash them. Then put them back and seal the joints. Cleaning the ductwork also improves airflow which is important to AC and Heat pump systems for efficiency. An electronic air cleaner will also improve airflow and static pressure because they usually have a much larger filter surface area. An electronic air cleaner also keeps the ac coil clean like new which means better efficiency and no cleaning needed. AC furnaces sometimes grow mold around the coil because of the condensation. Electronic air cleaners should be able to filter mold spores but the best remedy is installing a UV light next to the coil which will kill the mold.
Some research suggests that cleaning heating and cooling system components (e.g., cooling coils, fans and heat exchangers) may improve the efficiency of your system, resulting in a longer operating life, as well as some energy and maintenance cost savings. However, little evidence exists that cleaning only the ducts will improve the efficiency of the system.