Sounds simple but.
Get some blu tac tac press firmly over the ear piece then take it off.
This piece easily becomes clogged with dirt and dust.
You will probably notice the dirt on the blu tack
Do this a few times and try making a call again.
I made a profile to come back and say thank you specifically to this reply. The blu tak, or 'fun tak' by Loctite I found at TruValue worked perfectly. I started slow but ended up mashing a fresh tiny piece in 30 or so times, every press you could see a few more holes clear out until I had all but one clear. (I would estimate there are 45 holes in that ear speaker screen). I started my phone back up and had to hold it away from my ear when it was on max volume. Worked perfectly, this should be top solution. Press it in there hard many times, it works!!! The 'fun tak' cost 2.99