Perhaps a warning message would suffice? Would there be a way to detect that there are items on a Mannequin and give a message to the vain of "You have to remove all items from the Mannequin before you can change its gender" ? With something to stop the script activating if there are items? Just some ideas.
Most mannequin scripts for movable mannequins already do warn you when you go to "pick them up". Detecting whether they have something in inventory is more difficult with vanilla scripting (I always have to make that qualification because I don't know about the script extenders), so it's safest to just always ask, as the player may have put some weird item in the mannequin's inventory for storage.
But sure, if you warn before the six change, it should be a pretty simple modification to existing mannequin scripts to add the option to change gender.