As they did before, the communists would regard transgenderism as a sign of western moral decay subverting the cause of the revolution... because that's exactly what they would do... and in response they would ban it and make you work in the concrete factory.

Similarly, if the Communist Army needs soldiers, abortion is likely to be banned and "minimum child" policies are likely to be instated.

"I'm a woman"

"If you were a woman, your womb would be used to further the cause of the revolution by producing more children for the final war against the Capitalists. It doesn't matter who the father is, the state will see to that. Since you don't have a Cervix, you are a man, refusing to do his patriotic duty at the cement factory. 10 years hard labor in the coal mines will correct your degenerate and lazy behavior, comrade."