Can menapause cause painful sex, bleeding during sex, & passing blood clots after sex? Or is it a sign of something else?

Needs evaluation . Menopause alone does not cause painful sex. Vaginal bleeding after menopause is abnormal and needs evaluation. If the bleeding happens after pain with intercourse, you may possibly have a tear/laceration. Please see a gynecologist for evaluation of post menopausal bleeding and possible laceration.