This is what I have from a synastry reading of different asteroids, etc. that I ordered from Cafe Astrology called StarMates Reading:

Black Moon Lilith in 4th or 10th house in composite chart:

This relationship has a deep soulful connection to its very foundation. You will
identify with roles building together your personal lives or business. However you will
tend to be very individual and creative within those roles. This relationship although
significant as regards home, family or work, definitely does not follow the status quo
in those areas. You will experience very profound feelings that can be very
nourishing for your soul. However you must surrender to the wild flow of feeling
connection that tends to leak out over the normal edges of what is acceptable. You
may feel that your relationship stems from or is bound up in family or genes, so that
it is greater than yourselves personally. Acceptance of your individual feelings is the
key to happiness here.

True Lilith Opposition True Node:

You will feel fatefully drawn together on a soulful level and the relationship will
trigger deep emotional and sexual feelings. These normally unconscious energies
will be released and it is part of your destiny together to accept and integrate them.
Within the context of these unconscious feelings, you will discover the areas that
need to be developed or worked upon as individuals within this relationship. These
lessons will tend to be focused on instincts and hidden feelings.


True Lilith Opposition MC:

This relationship is rooted in a profound soul foundation and supports you both in
building your personal or business lives together. You will identify instinctive roles
that will not be traditional and you will need to be creative in developing them
together. The normally unconscious aspects of your sexual and emotional lives will
be a powerful font of nourishment both for yourselves and those around you.

True Lilith Trine Sun:

You may take it for granted how easily your deep emotions and sexuality flow with
the purpose of the relationship. It is easy to accept and integrate these, and as a
result you are capable of a strong soulful intimacy together. Whichever person
appears to be the more receptive partner may identify much more with this flow of
deep feelings and sexuality, when you are together.


True Lilith Trine Mercury:

You may take it for granted how easily you can talk to each other about the deep
emotions and sexuality that surface within the relationship. Your ideas and
communications flow smoothly with this level that is normally unconscious. It is
easy to accept and integrate, so that you are capable of communicating on a
profound, soulful level.

True Lilith Trine Saturn:

You may take it for granted how easily your commitment flows with the deep
emotions and sexuality that surface within the relationship. Your relationship
foundation integrates easily together with this level that is normally unconscious. It
is easy to accept and integrate, so that you are capable of committing together on a
profound, soulful level.

True Lilith Quincunx Venus:

You may find it difficult to integrate the deep emotional and sexual feelings you
share with your desires and attraction for each other. You need to find a creative
resolution to this paradox and find ways to bring to consciousness these normally
hidden and unconscious components.


So yes, they can use all the Liliths for it.