Another more relevant question is 'are you breastfeeding' - it's not uncommon for a woman to present for an abortion still breastfeeding a child - and that impacts on sedation/anaesthesia options.
But they don't ask that, because they cover that in the forms you fill out when you get there.
Every single person presenting for an abortion is female. IMO if the female making the appointment anticipates issues due to their gender presentation, they can raise that with the intake person initially.
It's the trans persons responsibility to be honest about any cross sex hormones they are taking, or any other 'gender' related issues that may affect their medical care.
They are not 'special' females; they are just females like the rest of us, with the same rights (to obtain medical care, safety and to be treated with respect during the process) and responsibilities (be sure this is what you need, co-operate with medical staff, respect staff and other patients, be clear and honest in your communication with medical staff) as the rest of us.
It's fucking hard to rock up and have a termination for many females, regardless of gender identity. What about women with kids and no or limited childcare ? Anyone fussing about them and their access ? No, thought not.