For the benefit of Others.. I may have found the problem, although I do not know why this has become a problem.
As previously and helpfully suggested I downloaded that Ear Trumpet software and checked the levels of running Apps. In my case there was NO Couatl entry in Ear Trumpet so naturally no sound from GSX, I restarted Couatl and the icon appeared and I had sounds.
It appears that in my case when starting Prosim Audio, it stomps on and replaces the Coautl sounds module. As soon as I start Prosim Audio I watch the Couatl icon disappear from the Ear Trumpet app and all my GSX sound go away.. Generally Prosim and its modules are always started after FS2020 has fully loaded. The reason for it being intermittent is probably because I have started Prosim prior to loading the flight without realising it and on those few occasions it has worked correctly.
I do not know why this happens/ has started happening but now I know I can get round it. If anyone has any input before I ask the question of Prosim please do comment.